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Date Published: 25/02/2022
Abstract Views: 310
Views PDF: 177
DOI: https://doi.org/10.51298/vmj.v510i1.1947
Issue
Vol. 510 No. 1 (2022)
Section
Các bài báo
How to Cite
Bá Lập, D. ., Minh Tùng, L. ., Văn Minh Tuấn, T. ., & Hữu Duy, T. . (2022). ETIOLOGY, MANAGEMENT AND SHORT-TERM OUTCOME OF ESOPHAGEAL PERFORATION. Vietnam Medical Journal, 510(1). https://doi.org/10.51298/vmj.v510i1.1947

ETIOLOGY, MANAGEMENT AND SHORT-TERM OUTCOME OF ESOPHAGEAL PERFORATION

Dương Bá Lập1, Lý Minh Tùng2,, Trần Văn Minh Tuấn2, Trần Hữu Duy2
1 University of Medicine and Pharmacy at Ho Chi Minh City
2 Vietnam National University HCMC

Main Article Content

Abstract

Introduction: Esophageal perforations are associated with a high rate of morbidity and mortality. The optimal cure for individual is still a controversy. Management is dictated by location of the perforation and concurrent injuries. Therefore, we review and evaluate the principles of clinical characteristic and treatment of perforations. Materials and Methods: A case-series study was conducted to describe etiology, clinical characteristic and to evaluate the outcomes of treatment for esophageal perforation at the Binh Dan hospital in a 5 years period, from 06.2014 to 06.2019. Results: There were 36 patients, 24 male and 12 female, average age 46.6 years old. Site of perforation includes 17 cases at cervix (47%), 15 cases at thorax (42%) and 4 cases at abdomen (11%). Main mechanisms of esophageal injury are foreign bodies (41.7%) and complication of gastric endoscopy (33.4%). CT scan examination finds 93.9% cases. Non-operation treatment were successful in 6/8 cases. The majority of cases are amenable to primary repair. Overall mortality in patients is estimated at 8.3%. Conclusion: CT scan with oral contrast provides high sensitivity and reveals more finding information. Non-operation should be considered when the clinical situation allows for a less invasive approach. Primary repair is the treatment of choice for esophageal perforation with highly successful rate.

Article Details

Keywords

esophageal perforation, primary repair

References

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